Dust off the Digoxin

February 2021 – When palliating heart failure with difficult to control atrial fibrillation, remember our old friend digoxin.

Consider Mr. Jones: His atrial fibrillation is marginally controlled but he can no longer tolerate any rate-controlling medications that lower his blood pressure, as he is falling with significant orthostatic hypotension.

Digoxin may improve quality of life and we find it a better choice for these patients when standing blood pressures are low.

Further reading:

Mark S. Link, MD reviewing Kotecha D et al. JAMA 2020 Dec 22/29 Curfman G. JAMA 2020 Dec 22/29

Digoxin was equivalent to a beta-blocker for quality of life in patients with AF and heart failure.

For more information contact Dr. Leslie Estep or Dr. Anita Meyer at Hospice of the Northwest, 360-814-5550, or lestep@hospicenw.org  or  ameyer@hospicenw.org

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